Yintoni iwele elinesifo sofuba? Masithethe ngale nto ngokulula.

Njengomama ozayo, ungaziva usoyika kwaye uxhalabile xa usiva igama elithi 'amawele anesifo sofuba'. Kodwa ungakhathazeki konke konke. Kuba le yimeko engaqhelekanga kakhulu. Nangona kunjalo, kubaluleke kakhulu ukuba nolwazi olufanelekileyo ngayo yonke into. Ngoko ke namhlanje, masithethe ngokulula ngale meko ibizwa ngokuba ngamawele anesifo sofuba, ithetha ukuthini, kutheni isenzeka, kwaye yintoni unyango.

Yintoni kanye kanye iwele elinesifo sofuba?

Ngamafutshane, iwele elinesifo sofuba lilinye apho iinxalenye zelinye iwele zinamathele emzimbeni womntwana omnye kwaye zingakhuli kakuhle. Oku kufana kakhulu nemeko ebizwa ngokuba yi-conjoined twins. Kodwa kukho umahluko ophambili. Kwiwele elinesifo sofuba, zombini iintsana zihlala zikhule kakuhle. Kwiwele elinesifo sofuba, ngelixa umntwana omnye ephilile kwaye ekhule ngokupheleleyo, uphuhliso lwelinye iwele luyema esibelekweni kwaye luhlale luyinxalenye engasebenziyo.

Ngokwezonyango, olu sana lukhule kakuhle kwaye lusempilweni lubizwa ngokuba 'liwele elizimeleyo okanye elilawulayo'. Inxalenye engakhulanga, engasebenziyo ibizwa ngokuba 'liwele eliyi-parasitic'.

Le nxalenye ye-parasite inokunamathela kwiindawo ezahlukeneyo zomzimba womntwana oyintloko. Ihlala ibonakala inamathele kwiindawo ezifana nentloko, isisu, isifuba, i-pelvis , iimpundu okanye umqolo. Eyona nto ibalulekileyo kuthi sonke ekufuneka siyiqonde apha kukuba le nxalenye ye-parasite ayingomntwana ophilayo, owahlukileyo. Loo nxalenye idla ngokungasebenzi ngokupheleleyo esibelekweni okanye ekuzalweni.

Le meko inqabile kangangokuba iingcali zithi yintsana enye kuphela kwisigidi echaphazeleka yiyo. Nangona oku kunokuvakala ngathi yinto embi ukuyiva, ngenxa yenkqubela phambili kwezonyango zanamhlanje, usana olusempilweni lunokuphila ubomi obuhle kakhulu. Ngokwesiqhelo, oogqirha bayasusa esi silwanyana ngotyando.

Kukho ezinye iimeko ezimbini ezifana nale, kodwa zinokubhideka.

1. I-Fetus-in-fetu: Oku kukukhula kwenqwaba yezicubu ezingaqhelekanga, ezifana ne-embryo ezigqunywe lulusu ngaphakathi emzimbeni womntwana ophilileyo.

2. I-teratoma evuthiweyo: Le yimeko yomhlaza. Ngamanye amaxesha ezi zinokuba yingozi.

Yintoni unobangela wale meko?

Ngenxa yokuba kunqabile kakhulu, abaphandi basazama ukufumana unobangela ochanekileyo. Kodwa kukho iingcamango ezimbini eziphambili. Zombini zinxulumene noko kwenzekayo kwizigaba zokuqala zomntwana ongekazalwa.

1. Ithiyori yokuHlaziywa

Ngokwale ngcamango, iqanda eliqhamkileyo liqhekeka kabini kwiiveki ezimbini zokuqala zokukhulelwa, lenze amawele afanayo . Khawuthelekelele, ukuba iqanda liqhekeka kabini ngale ndlela, alihlukani ngokupheleleyo, kwaye uphuhliso lwenxalenye enye luyema phakathi, ke le ngcamango ithi kwenzeka imeko yamawele anesifo sephepha.

2. Ithiyori yoKudityaniswa

Le ngcamango icebisa okwahlukileyo koko. Oko kukuthi, nokuba iqanda lihlukana ngempumelelo libe ziinxalenye ezimbini, ezi nxalenye zimbini ziphinda ziqhagamshelane kwaye zihlangane kwinqanaba leeseli. Oku kubangela amawele adibeneyo. Le ngcamango ithi ukuba inxalenye enye ye-embryo ayikhuli emva kolu manyano, imeko yamawele anesifo se-parasitic iphumela.

Ukongeza, abaphandi bafunda ikhemikhali ebizwa ngokuba yiSonic Hedgehog protein (SHH) . Le protein ibalulekile ekukhuleni kweeseli. Kucingelwa ukuba amanqanaba aphezulu ngokungaqhelekanga ale protein ye-SHH anokuba yimbangela yokudibana kweeparasites. Nangona kunjalo, uphando olongezelelweyo luyafuneka koku.

Ngaba kukho naziphi na iimpawu ezinokukuxelela oku kwangethuba?

Le meko inokuchongwa kuphela ngovavanyo lwezonyango ngexesha lokukhulelwa. Ifunyanwa ikakhulu ngokuskena okwenziwe ngugqirha.

• Iskeni ye-ultrasound yangaphambi kokuzalwa
• Iskeni se-MRI `( umfanekiso we-magnetic resonance )`
• I-CT scan `(I-Computerized Tomography)`

Ngexesha lokuhlolwa kwezi scan, ugqirha wakho unokujonga naziphi na iingxaki emzimbeni womntwana wakho, njengeenxalenye zewele elinesifo esibangelwa yiparasite. Ukuba kunjalo, banokuyalela iimvavanyo ezongezelelweyo, ezifana ne -echocardiogram, ukujonga ukusebenza kwentliziyo yomntwana okusempilweni.

Nangona kunjalo, ngamanye amaxesha akunakwenzeka ukubona esi silwanyana xa umntwana esesesibelekweni. Kwimeko enjalo, oogqirha bafumanisa imeko kuphela emva kokuba umntwana ezelwe, xa bebona izicubu ezongezelelweyo.

Wenza ntoni njengonyango?

Unyango olulodwa kuphela lwesifo samawele anesifo sofuba kukususwa kwamalungu omzimba ngotyando . Nangona kusenokuvakala ngathi kunzima ukuthi umntwana osandul’ ukuzalwa uyatyandwa, ukuba le ndawo yofuba ayisuswanga, umntwana ophilileyo unokujongana neengxaki ezahlukeneyo kwixesha elizayo. Yiyo loo nto olu tyando lwenziwa.

Ngexesha lotyando, oogqirha basusa ngononophelo zonke izicwili, amathambo, kwaye mhlawumbi amalungu omzimba kwiwele elinesifo esibangelwa yintsholongwane emzimbeni womntwana ophilileyo. Kwezinye iimeko, ukuba iwele elinesifo esibangelwa yintsholongwane libangele naziphi na iziphene emzimbeni womntwana ophilileyo, utyando lokwakha ngokutsha lunokufuneka ukuze lulungiswe.

Ngenxa yokuqhubela phambili kwezobuchwepheshe botyando lwanamhlanje, uninzi lwabantwana alufumani ngxaki zinkulu emva kotyando. Nangona kunjalo, abanye abantwana banokufuna ukubekwa esweni okukhethekileyo kwicandelo labagula kakhulu (ICU) emva kotyando.

Ngaba iingxaki zinokwenzeka emva kotyando?

Njengakwezinye iintlobo zotyando, kukho iingozi kunye neengxaki ezinokwenzeka ngolu tyando. Kodwa kufuneka sikhumbule ukuba uninzi lwabantwana luyaphila kakuhle. Nazi ezinye zeengxaki eziqhelekileyo ezinokwenzeka emva kotyando.

Ukuba unemibuzo okanye amathandabuzo ngale nto, eyona nto ingcono onokuyenza kukuthetha nogqirha wakho ngayo ngokukhululekileyo. Angaphendula yonke imibuzo yakho aze akunike ukuphumla. Kucetyiswa ngakumbi ukubona ugqirha ochwephesha ekukhulelweni nasekubelekeni.